| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.32 | $929.17 | $1,700.00 | |
CareSource
| Facility | $647.10 | $719.57 | $783.99 | |
Cigna
| Facility | $694.86 | $694.86 | $694.86 | |
United
| Facility | $2,450.00 | $2,450.00 | $2,450.00 |